{"id":2,"date":"2021-05-31T06:48:41","date_gmt":"2021-05-31T06:48:41","guid":{"rendered":"http:\/\/1stplacedesign.com.au\/demo\/jimsform\/?page_id=2"},"modified":"2021-09-24T05:41:19","modified_gmt":"2021-09-24T05:41:19","slug":"home","status":"publish","type":"page","link":"https:\/\/lp1.jimstermiteandpestcontrolqld.com.au\/forms\/","title":{"rendered":"Home"},"content":{"rendered":"<div class=\"container\">\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_1' style='display:none'><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/forms\/wp-json\/wp\/v2\/pages\/2#gf_1' >\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper'>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>2<\/span> - Service Details\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_1_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_1_1\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Select Services<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_1'><li class='gchoice gchoice_1_1_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.1' type='checkbox'  value='Ants'  id='choice_1_1_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_1' id='label_1_1_1'>Ants<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.2' type='checkbox'  value='Bed Bugs'  id='choice_1_1_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_2' id='label_1_1_2'>Bed Bugs<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.3' type='checkbox'  value='Bees'  id='choice_1_1_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_3' id='label_1_1_3'>Bees<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.4' type='checkbox'  value='Birds'  id='choice_1_1_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_4' id='label_1_1_4'>Birds<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.5' type='checkbox'  value='Cat Enclosures\/Proofing Cockroaches'  id='choice_1_1_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_5' id='label_1_1_5'>Cat Enclosures\/Proofing Cockroaches<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.6' type='checkbox'  value='Commercial Buildings'  id='choice_1_1_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_6' id='label_1_1_6'>Commercial Buildings<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.7' type='checkbox'  value='End Of Lease'  id='choice_1_1_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_7' id='label_1_1_7'>End Of Lease<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.8' type='checkbox'  value='Fleas'  id='choice_1_1_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_8' id='label_1_1_8'>Fleas<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.9' type='checkbox'  value='Flies\/Maggots'  id='choice_1_1_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_9' id='label_1_1_9'>Flies\/Maggots<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.11' type='checkbox'  value='General'  id='choice_1_1_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_11' id='label_1_1_11'>General<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.12' type='checkbox'  value='Mosquitos'  id='choice_1_1_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_12' id='label_1_1_12'>Mosquitos<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.13' type='checkbox'  value='Pest Inspection - Pre-Purchase'  id='choice_1_1_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_13' id='label_1_1_13'>Pest Inspection - Pre-Purchase<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.14' type='checkbox'  value='Pigeons'  id='choice_1_1_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_14' id='label_1_1_14'>Pigeons<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.15' type='checkbox'  value='Possums'  id='choice_1_1_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_15' id='label_1_1_15'>Possums<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.16' type='checkbox'  value='Rodents'  id='choice_1_1_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_16' id='label_1_1_16'>Rodents<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.17' type='checkbox'  value='Silverfish'  id='choice_1_1_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_17' id='label_1_1_17'>Silverfish<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.18' type='checkbox'  value='Snakes\/Lizards'  id='choice_1_1_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_18' id='label_1_1_18'>Snakes\/Lizards<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.19' type='checkbox'  value='Spiders'  id='choice_1_1_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_19' id='label_1_1_19'>Spiders<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.21' type='checkbox'  value='Termite Control'  id='choice_1_1_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_21' id='label_1_1_21'>Termite Control<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.22' type='checkbox'  value='Termite Inspection'  id='choice_1_1_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_22' id='label_1_1_22'>Termite Inspection<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.23' type='checkbox'  value='Termite Pre-Construction Inspection'  id='choice_1_1_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_23' id='label_1_1_23'>Termite Pre-Construction Inspection<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.24' type='checkbox'  value='Ticks'  id='choice_1_1_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_24' id='label_1_1_24'>Ticks<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_1_1_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_1.25' type='checkbox'  value='Wasps'  id='choice_1_1_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_1_25' id='label_1_1_25'>Wasps<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_2' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_1_3\" class=\"gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Service Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address' id='input_1_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_1_3_1' value=''   placeholder='Street Address' aria-required='true'    \/>\n                                        <label for='input_1_3_1' id='input_1_3_1_label' class='hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_1_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_1_3_3' value=''   placeholder='City' aria-required='true'    \/>\n                                    <label for='input_1_3_3' id='input_1_3_3_label' class='hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_1_3_4_container' >\n                                        <input type='text' name='input_3.4' id='input_1_3_4' value=''     placeholder='State' aria-required='true'    \/>\n                                        <label for='input_1_3_4' id='input_1_3_4_label' class='hidden_sub_label screen-reader-text'>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_1_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_1_3_5' value=''   placeholder='Post Code' aria-required='true'    \/>\n                                    <label for='input_1_3_5' id='input_1_3_5_label' class='hidden_sub_label screen-reader-text'>Post Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_3.6' id='input_1_3_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_1_6\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_1_6'>\n                            \n                            <span id='input_1_6_3_container' class='name_first' >\n                                                    <input type='text' name='input_6.3' id='input_1_6_3' value=''   aria-required='true'   placeholder='First Name'  \/>\n                                                    <label for='input_1_6_3' class='hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_6_6_container' class='name_last' >\n                                                    <input type='text' name='input_6.6' id='input_1_6_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_1_6_6' class='hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_7\" class=\"gfield gfield--width-full gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_7' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_1_7' type='text' value='' class='large'  placeholder='Contact Phone Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_1_8\" class=\"gfield gfield--width-full gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_1_8' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_8' id='input_1_8' type='text' value='' class='large'   placeholder='E-Mail Address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_1_9\" class=\"gfield gfield--width-full gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Are you or anybody in the household currently unwell?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_9'>\n\t\t\t<li class='gchoice gchoice_1_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='No' checked='checked' id='choice_1_9_0'    \/>\n\t\t\t\t<label for='choice_1_9_0' id='label_1_9_0'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Yes'  id='choice_1_9_1'    \/>\n\t\t\t\t<label for='choice_1_9_1' id='label_1_9_1'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_10\" class=\"gfield gfield--width-full gf_right_half field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Are you or anybody in the household currently in quarantine?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_10'>\n\t\t\t<li class='gchoice gchoice_1_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='No' checked='checked' id='choice_1_10_0'    \/>\n\t\t\t\t<label for='choice_1_10_0' id='label_1_10_0'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_1_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='Yes'  id='choice_1_10_1'    \/>\n\t\t\t\t<label for='choice_1_10_1' id='label_1_10_1'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_1_11\" class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label' for='input_1_11' >Health Information<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_11'>Please include a detailed comment if you or anyone in the household is currently unwell or in quarantine.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_1_11' class='textarea small'  aria-describedby=\"gfield_description_1_11\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_12\" class=\"gfield gfield--width-full gfield_contains_required 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